Emergence of Consonants in Young Children with Hearing Loss Mallene Wiggin 1, Allison L. Sedey 1, Rebecca Awad 2, Jamie M. Bogle 3, and Christine Yoshinaga-Itano 1 1 University of Colorado-Boulder 2 Children s Hospital Colorado 3 Mayo Clinic, Phoenix Data Published in Volta Review Number 113, Volume 2, Summer 2013
Acknowledgements Centers for Disease Control and Prevention (grant/cooperative agreement number UR3/CCU824219) National Institutes of Health (contract number N01-DC-4-2141) Maternal and Child Health Colorado Department of Education (contract number H325D030031A, H32C030074) Colorado Home Intervention Program (CHIP) Colorado Department of Public Health and Environment Children & Families
Objectives Describe consonant emergence in young children with hearing loss. Identify how severity of hearing loss impacts consonant emergence. Educate families and school professionals on the importance of continued monitoring for speech development in young children with hearing loss.
Typical Phoneme Development
Sander, E. (1972). When are speech sounds are learned? Journal of Speech and Hearing Disorders, 37, 55-63.
HOW IS PHONEME DEVELOPMENT IMPACTED BY DEGREE OF HEARING LOSS?
Participants 269 children with hearing loss Data from 885 test sessions (226 children contributed longitudinal data) Between 15 and 84 months of age Hearing loss ranged from mild to profound Hearing aid & CI Users Speech or speech & sign
Demographic Characteristics
Procedure 25-minute spontaneous language sample, children needed to produce at least 10 words for inclusion in analysis Transcribed in Logical International Phonetics Program (LIPP) (Oller& Delgado, 1990) First 100 utterances were transcribed
Interpreting Charts Six charts arranged by manner of production The beginning of each solid bar represents the age at which at least 50% of the children produced a given phoneme and ends when at least 80% of the children produced the sound.
Stop Phonemes
Nasal Phonemes
Liquid Phonemes
Affricate Phonemes
Fricative Phonemes
Glide Phonemes
General Results By 7 years of age, all of the consonants were produced by at least 50% of the participants. Across all degrees of hearing loss, stops, glides, and two of the three nasal consonants /m,n/ appeared first. Although /h,s,z/ were produced relatively early, the remaining fricative consonants and the affricates appeared to be the most difficult to produce for all of the hearing loss categories with /ch,dz,v,t, d,z,s/ generally not yet produced by 80% of children at 6 years of age. In evaluating consonant production by voicing, voiced stop consonants appeared before voiceless stop consonants, however voiceless fricatives appeared prior to voiced fricatives. In general, as severity of hearing loss increased, phonemes either emerged later or the point at which the majority of children produced the sounds was later. In general, it took the same amount of time or longer for 80% of the children with implants to produce most sounds when compared to the children with mild through severe losses who wore hearing aids.
Reminders: Considerations in Interpretation the use of a spontaneous sample designated testing ages hearing loss categories that had limited sample sizes in some age groups
Implications for Clinical Practice Early Intervention Evaluate Goals (Remember, always use typical development to set goals!) Identify Possibility Secondary disabilities Education (families, professionals) Progression of hearing loss Adjust therapy techniques Audiology Acoustic analysis Appropriate amplification
QUESTIONS? THANKS FOR JOINING US! Data Published in Volta Review Number 113, Volume 2, Summer 2013 Mallene Wiggin (mallene.wiggin@colorado.edu); Allison Sedey(allison.sedey@colorado.edu)
References Blamey, P.J., Barry, J.G., & Jacq, P. (2001). Phonetic inventory development in young cochl ear implant users 6 years postoperation. Journal of Speech Language and Hearing Research, 44, 73-79. Boothroyd, A. (1978). Speech perception and sensorineural hearing loss. In M. Ross & T.G. Giolas (Eds.), Auditory management of hearing-impaired children(pp. 117-144). Baltimore: University Park Press. Dawson, P.W., Blamey, S.J., Dettman, S.J., Rowland, L.C., Barker, E.J., Tobey, E.A., et al.(1995). A clinical report on speech production of cochlear implant users. Ear and Hearing, 16, 551-561. Elfenbein, J.L., Hardin-Jones, M.A., & Davis, J.M. (1994). Oral communication skills of children who are hard of hearing. Journal of Speech and Hearing Research, 37, 216-226. Ertmer, D. J. (2010). Relationships between speech intelligibility and word articulation scores in children with hearing loss. Journal of Speech and Hearing Research, 53, 1075-1086. Geers, A., & Moog, J. (1994). Spoken language results: Vocabulary, syntax, and communication. Volta Review, 96(5), 131-148. Geers, A., Moog, J., & Schick, B. (1984). Acquisition of spoken and signed English by profoundly deaf children. Journal of Speech and Hearing Disorders, 49, 378-388. Goldman, R., & Fristoe, M. (2000). Goldman-Fristoe Test of Articulation.Circle Pines, MN: American Guidance Service. Gordon, T.G. (1987). Communication skills of mainstreamed hearing-impaired children. In H. Levitt, N. McGarr, & D. Geffner (Eds.), Development of language and communication skills in hearing-impaired children. Monographs of the American Speech-Language- Hearing Association, 26, 108-122. skills in hearing-impaired children. Monographs of the American Speech-Language- Hearing Association, 26, 108-122. Grunwell, P. (1981). The development of phonology. First Language, iii, 161-191. Hudgins, C.V., & Numbers, F.C. (1942). An investigation of the intelligibility of speech of the deaf. Genetic Psychology Monographs, 25, 289-392. Kirk, K., & Hill-Brown, C. (1985). Speech and language results in children with a cochlear implant. Ear and Hearing, 6, 36S-47S. Levitt, H., McGarr, N., & Geffner, D. (1987). Development of language and communication skills in hearing-impaired children. Introduction. Monographs of the American Speech- Language-Hearing Association, 26, 1-8. Markides, A. (1970). The speech of deaf and partially-hearing children with special reference to factors affecting intelligibility. British Journal of Disorders of Communication, 5, 126-140. Mavilya, M. (1972). Spontaneous vocalization and babbling in hearing impaired children. In G. Fant (Ed.), International symposium on speech communication ability and profound deafness (pp. 163-171). Washington, DC: Alexander Graham Bell Association for the Deaf. Moeller, M.P., Hoover, B., Putman, C., Arbataitis, K., Bohnenkamp, G., Peterson, B., et al. (2007). Vocalizations of infants with hearing loss compared with infants with normal hearing: Part I- Phonetic development. Ear and Hearing, 28, 605-627. Moeller, M. P., McCleary, E., Putman, C., Tyler-Krings, A., Hoover, B., Stelmachowicz, P. (2010). Longitudinal development of phonology and morphology in children with late - identified mild-moderate sensorineural hearing loss.ear and Hearing, 31, 625-635.
Monsen, R.B. (1978). Toward measuring how well hearing -impaired children speak. Journal of Speech and Hearing Research, 21, 197-219. National Institutes of Health Consensus Statement. (1995). Cochlear implants in adults and children. 13(2), 1-30. Poole, I. (1934). Genetic development of articulation of consonant sounds in speech. Elementary English Review, 11, 159-161. Prather, E., Hendrick, D., & Kern, C. (1975). Articulation development in children aged two to four years. Journal of Speech and Hearing Disorders, 40, 179-191. Robbins, A.M., Renshaw, J.J., & Berry, S.W. (1991). Evaluating meaningful auditory integration in profoundly hearing -impaired children. American Journal of Otology, 12 (Suppl), 144-150. Sander, E. (1972). When are speech sounds are learned? Journal of Speech and Hearing Disorders, 37, 55-63. Smit, A.B., Hand, L., Freiling, J.J., Bernthal, J.E., & Bird, A. (1990). The Iowa articulation norms project and its Nebraska replication. Journal of Speech and Hearing Disorders, 55, 779-798. Spencer, L.J., Tye -Murray, N., & Tomblin, J.B. (1998). The production of English inflectional morphology, speech production and listening performance in children with cochlear Stoel-Gammon, C., & Otomo, K. (1986). Babbling development of hea ring-impaired and normally hearing subjects. Journal of Speech and Hearing Disorders, 51, 33-41. Svirsky, M.A., Robbins, A.M., Kirk, K.I., Pisoni, D.B., & Miyamoto, R.T. (2000). Language development in profoundly deaf children with cochlear implants. Psychological Science, 11, 153-158. Templin, M. (1957). Certain language skills in children. Minneapolis, MN: University of Minnesota Press. Tobey, E.A., & Hasenstab, M.S. (1991). Effects of a Nucleus multichannel cochlear implant upon speech productio n in children. Ear and Hearing, 12(4 Suppl), 48S-54S. Tye-Murray, N., Spencer, L., & Woodworth, G. (1995). Acquisition of speech by children who have prolonged cochlear implant experience. Journal of Speech and Hearing Research, 38, 327-337. Watson, M.M., & Scukanec, G.P. (1997). Profiling the phonological abilities of 2 -year-olds: A longitudinal investigation. Child Language Teaching and Therapy, 13, 327-337. Wellman, B., Case, I., Mengert, I., & Bradbury, D. (1931). Speech sounds of young children. University of Iowa Studies in Child Welfare, 5, 1-82. Yoshinaga -Itano, C., Stredler -Brown, A., & Jancosek, B. (1992). From phone to phoneme: What we can understand from babble. Volta Review, 94, 283-314. implants. Ear and Hearing, 19, 310-318. Stoel-Gammo n, C. (1988). Prelinguistic vocalizations of hearing -impaired and normally hearing subjects: A comparison of consontantal inventories. Journal of Speech and Hearing Disorders, 53, 302-315.